Medicare Equity Extension Act of 2011

Medicare Equity Extension Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act, with respect to the formulae for determining payments for physician services under part B (Supplementary Medical Insurance Benefits for the Aged and Disabled), to extend through calendar 2013: (1) a specified formula element for the employee wage and rent portions of the Medicare practice expense geographic adjustment, and (2) the Medicare work geographic adjustment floor at 1.0 under the Medicare and Medicaid Extenders Act of 2010.

Terminates as of December 31, 2011, the 1.00 floor under the Patient Protection and Affordable Care Act (PPACA): (1) on the area wage index for hospitals in frontier states (half of whose counties have a population per square mile of less than 6), (2) on the area wage adjustment factor for hospital outpatient department (OPD) services in frontier states, and (3) for the practice expense index for services furnished in frontier states.

[Congressional Bills 112th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3258 Introduced in House (IH)]

112th CONGRESS
  1st Session
                                H. R. 3258

 To extend for a 2 year certain geographic practice cost index (GPCI) 
    adjustments under the Medicare program, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 25, 2011

 Mr. Braley of Iowa (for himself, Ms. McCollum, Mr. Kind, Mr. DeFazio, 
 and Mr. Inslee) introduced the following bill; which was referred to 
the Committee on Energy and Commerce, and in addition to the Committee 
 on Ways and Means, for a period to be subsequently determined by the 
  Speaker, in each case for consideration of such provisions as fall 
           within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
 To extend for a 2 year certain geographic practice cost index (GPCI) 
    adjustments under the Medicare program, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Equity Extension Act of 
2011''.

SEC. 2. 2-YEAR EXTENSION OF CERTAIN MEDICARE GPCI ADJUSTMENTS.

    (a) Extension of Medicare Practice Expense Geographic Adjustment 
Under PPACA.--Section 1848(e)(1)(H) of the Social Security Act (42 
U.S.C. 1395w(e)(1)(H)) is amended--
            (1) in clause (ii)--
                    (A) in the heading, by inserting ``, 2012, or 
                2013'' after ``for 2011''; and
                    (B) by inserting ``, 2012, or 2013'' after ``during 
                2011''; and
            (2) in clause (iii), by striking ``or 2011'' and inserting 
        ``, 2011, 2012, or 2013''.
    (b) Further Extension of Medicare Work Geographic Adjustment Floor 
Under MMEA.--Section 1848(e)(1)(E) of the Social Security Act (42 
U.S.C. 1395w-4(e)(1)(E)), as amended by section 103 of the Medicare and 
Medicaid Extenders Act of 2010 (Public Law 111-309), is amended by 
striking ``before January 1, 2012'' and inserting ``before January 1, 
2014''.

SEC. 3. SUNSET OF SPECIAL PROVISIONS FOR FRONTIER STATES UNDER SECTION 
              10324 OF PPACA.

    (a) Area Wage Index Floor for Inpatient Hospital Services.--Section 
1886(d)(3)(E)(iii)(I) of the Social Security Act (42 U.S.C. 
1395ww(d)(3)(E)(iii)(I)), as added by section 10324(a)(1)(B) of the 
Patient Protection and Affordable Care Act, is amended by inserting 
``and before January 1, 2012'' after ``October 1, 2010,''.
    (b) Area Wage Adjustment Floor for Hospital Outpatient Services.--
Section 1833(t)(19)(A) of the Social Security Act (42 U.S.C. 
1395l(t)(19)(A)), as added by section 10324(b)(2) of the Patient 
Protection and Affordable Care Act, is amended by inserting ``and 
before January 1, 2012'' after ``January 1, 2011,''.
    (c) Practice Index Floor for Physicians' Services.--Section 
1848(e)(1)(I)(i) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(I)(i)), as added by section 10324(c)(2) of the Patient 
Protection and Affordable Care Act, is amended by inserting ``and 
before January 1, 2012'' after ``January 1, 2011,''.
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